Rhinitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]
Overview
Surgery is not commonly required for the management of rhinitis. Surgical procedures are however sometimes indicated in the management of structural/mechanical problems, or coexisting comorbid conditions.[1]
Surgery
Surrgery in Allergic Rhinitis[2][3]
Surgical interventions in allergic rhinitis are usually indicated when there are structural conditions causing nasal obstruction, or associated comorbid disorders that are not responsive to medical therapy. Surgical procedures that can be done include total inferior turbinectomy, radical turbinectomy, submucous turbinectomy, microdebriber turbinoplasty, cryosurgery, laser cautery, endoscopic sinus surgeries, etc. Some of the indications for surgical intervention in allergic rhinitis include:
- Hypertrphied inferior turbinate that is unresponsive to medical therapy
- Anatomic variations of the nasal septum with functional relevance
- Anatomic variations of the bony pyramid with functional/aesthetic relevance
- Chronic sinusitis, invasive fungal sinus disease
- A variety of nasal unilateral polyposis or therapy-resistant bilateral nasal polyps
- Adenoidal hypertrophy
References
- ↑ Sacre-Hazouri JA (2012). "[Chronic rhinosinusitis in children]". Rev Alerg Mex. 59 (1): 16–24. PMID 24007929.
- ↑ Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A; et al. (2008). "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)". Allergy. 63 Suppl 86: 8–160. doi:10.1111/j.1398-9995.2007.01620.x. PMID 18331513.
- ↑ Chhabra N, Houser SM (2011). "The surgical management of allergic rhinitis". Otolaryngol Clin North Am. 44 (3): 779–95, xi. doi:10.1016/j.otc.2011.03.007. PMID 21621061.